Organization Active NPI

RSS Jon Holman PLLC

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1154863231
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4246 Issued in OK
Legal business name
RSS JON HOLMAN PLLC
Practice address
13301 N Meridian Ave
BLDG 100, Suite 100
Oklahoma City, OK 73120-9369
Phone
(405) 486-7879
Fax
(855) 829-4625
NPI assigned
Nov 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James R Evanger
Title
Ceo
Phone
(904) 469-3119

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4246 OK Primary
Durable Medical Equipment & Medical Supplies 332B00000X OK

Addresses

Primary practice location

13301 N Meridian Ave
BLDG 100, Suite 100
Oklahoma City, OK 73120-9369

Mailing address

1050 Texan TRL
Suite 300
Grapevine, TX 76051-3741
Phone (469) 778-6100

National Provider Directory

National Provider Directory

Locations

13301 N Meridian Ave
Ste 100
Oklahoma City, OK 73120
Phone (405) 310-3262

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1154863231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 TEXAN TRL",
            "address_2": "SUITE 300",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513741",
            "telephone_number": "469-778-6100",
            "fax_number": "866-300-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN AVE",
            "address_2": "BLDG 100, SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209369",
            "telephone_number": "405-486-7879",
            "fax_number": "855-829-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSS JON HOLMAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "EVANGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-469-3119"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4246",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.